BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NA

    MDR report key: 492089 · Received October 27, 2003

    Report

    Report Number
    2242056-2003-00006
    Event Type
    Injury
    Date Received
    October 27, 2003
    Date of Event
    October 8, 2003
    Report Date
    October 21, 2003
    Manufacturer
    ALTO DEVELOPMENT CORP., DBA A&E MEDICAL CORP.
    Product Code
    GEI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    BURN TO PT'S LIP NOTED DURING TONSILLECTOMY PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NA ELECTROSURGICAL SUCTION COAGULATOR GEI ALTO DEVELOPMENT CORP., DBA A&E MEDICAL CORP. NA 009

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Other